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A j-pouch, or ileal pouch reconstruction, is a surgery that is used for ulcerative colitis patients, and is usually completed in two steps.

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Saturday, June 7, 2008

First have in mind that a doctor and a nurse will guide you though this whole process and you are not alone in this so be confident and all will be all right in the end.

Ileostomy is a stoma constructed by bringing the small intestine( ileum) to the surface of the skin. This way, the waste is collected in a pouch on the abdomen. This kind of stomais situated on the right side of the abdomen. When an injury occurs on the large intestine andthe colon is removed an ileostomy is vitally necessary. Diseases which need surgical removal include „Crohn’s disease” , „Ulcerative colitis” , „Familial adenomatous polyposis” etc. Ileostomy sometimes is necessary in colorectal cancer treatment . A temporary ileostomy is necessary when a tumor blocks the colon. A loop of intestines are brought out through a stoma and the colon and rectum will be removed. This kind of stoma are often the first step in reconstruction of an ileo-anal pouch. This can last up to 11 weeks.

How one lives with an ileostomy

They need an ostomy pouch that collects all intestinal waste. This is a dreinable pouch that is leakproffed at the bottom and it can be used to get rid of the waste any time. It is clearly better that a permanent pouch that needs to be replaced when it gets full. This kind of stoma implies that the pouch will be emptied 4-5 time a day, everyday. So simply it can be used whenever they find themselves near a bathroom. Every 3-6 days the pouch will become deteriorated and needs to be changed and it is rather hard to notice when worn under the clothes, unless it gets too full.

To minimize your problems or a potential blockage one should chew the food very very good in order to help with the digestion process. Also some foods are notrecommended like potatoes and some raw vegetables because they are harder to digest.

Alternatives

There is an alternative that needs no external pouch (because that can be for some very unpleasant) named ileo-anal pouch. An internal reservoir is connected to the anus made from the ileum after removing the colon and rectum. So there is no need for external „devices”.

Urostomy

The 4 most commonly reasons when one needs a urostomy:

bladder cancer

neurological dysfunction of the bladder (the bladder doesn’t work as it should)

birth defects

chronic inflammation of the bladder

The urostomy is another form of stoma. It is used for the urinary system. When there are problems with the bladder or the urethra and urinating can not be done by natural ways there is need of a urestomy. The process is rather similar to the Ileostomy. An artificial bladder is made of a bowl that can be emptied whenever it is necessary. This process is not that complicated as an ileostomy and it is simply a procedure to detour urine away from the problem and the organs which suffered surgical procedures and need time to heal. Sometimes the bladder is removed making the urine pass through the stoma to get outside of the body. The surgery that is done to extract and get rid of the sickened bladder is named CYSTECTOMY.

This is the time to get inspired. Having ulcerative colitis doesn't mean life is over. Sure, there will be challenges, but with the right guidance and support, there's no reason you can't get right out there!

Tell Your UC & J-Pouch Surgery Story

Do you have a story to tell?Of course you do. Everyone with inflammatory bowel disease has a story of overcoming illness and adversity.If you have ulcerative colitis, you can tell your story and become a member of our support group. Just write your story, suggestions, anything you want to share with other UC patient's .Please send us your personal story, it help others coping with the same issues.Email us at:anscreativity@gmail.com. Once we will post it , will send you the link.

Illustration of the Digestive System

Welcome to the first Blog on the web dedicated to the Ileo-anal anastomosis, or "J-Pouch" operation

This Blog is created by Miss Anshu Gupta(Ulcerative Colitis Patient, Operated for J-Pouch Surgery) by the team of expert Liver Transplant & Gastrointestinal Surgeons,Dr Subash Gupta, Dr Samiran Nundy, Dr A.S Soinof SGRH New Delhi, India, in Dec. 2005.Join me for support and information regarding this procedure. I hope to bring you the most information on the web as you plan for the operation or are dealing with life after suffering with Ulcerative Colitis, Cancer or familial polyposis.

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Disclaimer: This Blog provides general information about Ulcerative Colitis & J-Pouch Surgery, Digestive Disease, Cancer,Treatments, Transplants and in no means should be taken as a medical or health advice. Please consult your doctor before acting on any of its information.